Presentation
Abdominal pain. Incidental liver lesion.
Patient Data
Age: 30 years
Gender: Male
From the case:
Portal venous varix
{"study":{"id":117560,"case_slug":"portal-venous-varix-3","modality":"Ultrasound","series":[{"id":57187625,"content_type":"image/png","frames":[{"id":57187625,"width":710,"height":502,"current":true},{"id":57187626},{"id":57187627},{"id":57187628},{"id":57187629},{"id":57187630},{"id":57187631},{"id":57187632}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"0._tiny.jpeg","jumbo":"0._jumbo.jpeg","small":"0._small.jpeg","thumb":"0._thumb.jpeg","medium":"0._medium.jpeg","gallery":"0._gallery.jpeg","big_gallery":"0._big_gallery.jpeg","original":"0..png"},{"tiny":"1._tiny.jpeg","jumbo":"1._jumbo.jpeg","small":"1._small.jpeg","thumb":"1._thumb.jpeg","medium":"1._medium.jpeg","gallery":"1._gallery.jpeg","big_gallery":"1._big_gallery.jpeg","original":"1..png"},{"tiny":"2._tiny.jpeg","jumbo":"2._jumbo.jpeg","small":"2._small.jpeg","thumb":"2._thumb.jpeg","medium":"2._medium.jpeg","gallery":"2._gallery.jpeg","big_gallery":"2._big_gallery.jpeg","original":"2..png"},{"tiny":"3._tiny.jpeg","jumbo":"3._jumbo.jpeg","small":"3._small.jpeg","thumb":"3._thumb.jpeg","medium":"3._medium.jpeg","gallery":"3._gallery.jpeg","big_gallery":"3._big_gallery.jpeg","original":"3..png"},{"tiny":"4._tiny.jpeg","jumbo":"4._jumbo.jpeg","small":"4._small.jpeg","thumb":"4._thumb.jpeg","medium":"4._medium.jpeg","gallery":"4._gallery.jpeg","big_gallery":"4._big_gallery.jpeg","original":"4..png"},{"tiny":"5._tiny.jpeg","jumbo":"5._jumbo.jpeg","small":"5._small.jpeg","thumb":"5._thumb.jpeg","medium":"5._medium.jpeg","gallery":"5._gallery.jpeg","big_gallery":"5._big_gallery.jpeg","original":"5..png"},{"tiny":"6._tiny.jpeg","jumbo":"6._jumbo.jpeg","small":"6._small.jpeg","thumb":"6._thumb.jpeg","medium":"6._medium.jpeg","gallery":"6._gallery.jpeg","big_gallery":"6._big_gallery.jpeg","original":"6..png"},{"tiny":"7._tiny.jpeg","jumbo":"7._jumbo.jpeg","small":"7._small.jpeg","thumb":"7._thumb.jpeg","medium":"7._medium.jpeg","gallery":"7._gallery.jpeg","big_gallery":"7._big_gallery.jpeg","original":"7..png"}]},"perspective":"","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"mostafa mahmoud el feki","case_id":97401,"case_key_image_id":57187627,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
The liver is mildly enlarged with increased echopattern and posterior acoustic attenuation, reflecting diffuse steatosis.
Left portal vein focal dilatation reaching 16 mm in diameter with turbulent flow seen as yin-yang sign on color Doppler, in keeping with a portal vein varix.
Case Discussion
Portal venous varix is usually asymptomatic and incidentally discovered. Further work-up is not necessary. Color Doppler imaging is the most helpful in diagnosis identifying turbulent flow within and differentiating it from hepatic cysts.
Unable to process the form. Check for errors and try again.